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Difference between revisions of "Clinical Statement Change Request Template"

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''(This is a template. Do not edit. Copy and paste its source to a new page)''
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''('''This is a template. Do not edit!''' Copy and paste source into to a new page)''
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''('''An announcement of this Change Request must be submitted to the Clinical Statement list to be formally submitted.''')''
  
 
Editing of Change Requests is restricted to the submitter and the co-chairs of the Clinical Statement Project. Other changes will be undone. Please add comments to the "discussion" page associated with this Change Request.
 
Editing of Change Requests is restricted to the submitter and the co-chairs of the Clinical Statement Project. Other changes will be undone. Please add comments to the "discussion" page associated with this Change Request.
  
Back to [[Change Requests]] page.
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Back to [[Clinical Statement Change Requests]] page.
 
{|width=100% cellspacing=0 cellpadding=2 border=1
 
{|width=100% cellspacing=0 cellpadding=2 border=1
 
|| '''Submitted by:''' <<Name>>
 
|| '''Submitted by:''' <<Name>>
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== Recomendation ==
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== Recommendation ==
 
*  
 
*  
  
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== Recommeded Action Items ==
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== Recommended Action Items ==
  
  
 
== Resolution ==
 
== Resolution ==

Latest revision as of 15:51, 12 February 2006

(This is a template. Do not edit! Copy and paste source into to a new page)

(An announcement of this Change Request must be submitted to the Clinical Statement list to be formally submitted.)

Editing of Change Requests is restricted to the submitter and the co-chairs of the Clinical Statement Project. Other changes will be undone. Please add comments to the "discussion" page associated with this Change Request.

Back to Clinical Statement Change Requests page.

Submitted by: <<Name>> Revision date: <<Revision Date>>
Submitted date: <<Submit Date>> Change request ID: <<Change Request ID>>

Issue

Recommendation

Rationale

Discussion

Recommended Action Items

Resolution